Information Collection Request

Certification of Identity and Consent Form

ICR 202209-1024-007 · OMB 1024-0280 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 10-945 Certification of Identity and Consent Form and Instruction Modified Repair queued
1024-0280 ID and Consent SSA_11.3.2022.docx Supporting Statement A Uploaded 2022-11-03 Repair queued
Privacy Act Files – Interior, DOI-57.pdf Supplementary Document Uploaded 2019-11-08 Repair queued
Electronic FOIA Tracking System and FOIA Case Files – Interior, DOI-71.pdf Supplementary Document Uploaded 2019-11-08 Repair queued
Incident Management, Analysis and Reporting System.pdf Supplementary Document Uploaded 2019-11-08 Repair queued
1024-0280 ID and Consent_88FR5908_2023-0130.pdf Supplementary Document Uploaded 2023-01-30 Repair queued
1024-0280 ID and Consent 60-day FRN 3-28-2022 87 FR 17321.pdf Supplementary Document Uploaded 2022-11-02 Repair queued
54 USC 100101 NPS Organic Act.pdf Supplementary Document Uploaded 2022-11-02 Repair queued
Privacy Act of 1974 5 USC §552a.pdf Supplementary Document Uploaded 2019-11-04 Repair queued
Freedom of Information Act 5 USC §552.pdf Supplementary Document Uploaded 2019-11-04 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
224051 Certification of Identity and Consent Form and Instruction Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyDOI/NPS
OMB Control No1024-0280
Type of Information CollectionExtension without change of a currently approved collection
Previous ICR Reference No201911-1024-001
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31